北京中医药2026，Vol.45Issue(1)：89-93,5.DOI:10.16025/j.1674-1307.2026.01.014
发热待查的中西医诊治专家共识
Expert consensus on the traditional Chinese and Western medicine diagnosis and treatment of fever of unknown origin
摘要
Abstract
Fever of unknown origin(FUO)is characterized by complex etiology and diagnostic difficulty,posing a significant challenge in modern clinical practice.This consensus aims to establish an integrated framework for the diagnosis and treatment of FUO using both traditional Chinese medicine(TCM)and Western medicine.It emphasizes the early initiation of TCM therapy while conducting systematic etiological investigation with Western medical technologies,thereby addressing the limitations of purely etiology-based treatment.The consensus integrates multiple syndrome differentiation systems,including defense-qi-nutrient-blood,six meridians,Sanjiao,and Zang-fu organ meridians and collaterals,using the progression of disease mechanisms as the central thread.FUO is systematically categorized into ten core syndrome patterns,with each pattern's core pathomechanism and key differentiation points defined,and corresponding classical formulas and commonly used Chinese patent medicines recommended.This provides a clear and actionable pathway for syndrome differentiation-based treatment in clinical practice.关键词
发热待查/中西医/专家共识Key words
fever of unknow original/Chinese and Western Medicine/expert consensus引用本文复制引用
齐文升,齐文杰,赵昕,于大兴,王超,林铃,闫子民..发热待查的中西医诊治专家共识[J].北京中医药,2026,45(1):89-93,5.基金项目
国家中医药传承创新团队项目(ZYYCXTD-C-202403) （ZYYCXTD-C-202403）
中央高水平中医医院临床研究和成果转化能力提升项目——中医药临床循证研究专项(HLCMHPP2023090) （HLCMHPP2023090）
北京市卫生健康委员会高层次公共卫生技术人才建设项目(学科带头人-02-29) （学科带头人-02-29）
